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Using Post-payment Insights to Build Strong Pre-payment Claims Review Programs

Building and maintaining an effective pre-payment claims review program can be challenging without leveraging prior inappropriate billing patterns or checks against fraud trends that were previously identified during post-payment claims reviews. In this session, participants will learn the importance of gathering and leveraging information from post-payment reviews to significantly strengthen pre-payment review programs, as well as the use of ICD-10 codes and outliers that can help generate new leads based on current billing trends and better address claims system vulnerabilities.
Recorded Dec 14 2016 51 mins
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Presented by
Erin Picton, AHFI, Investigations Manager, General Dynamics Health Solutions
Presentation preview: Using Post-payment Insights to Build Strong Pre-payment Claims Review Programs

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  • Title: Using Post-payment Insights to Build Strong Pre-payment Claims Review Programs
  • Live at: Dec 14 2016 7:00 pm
  • Presented by: Erin Picton, AHFI, Investigations Manager, General Dynamics Health Solutions
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